CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner Medical Center Acute

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $182
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner Medical Center Acute is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.70x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$141

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $141 (132%)
Insurance Median: $182 (170%)
Cash: $141 (132% of Medicare)
Ins. Median: $182 (170% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tricare $38 - $98 36%
Medicaid / KanCare $81 - $86 76%
Humana $86 - $98 81%
UnitedHealthcare $86 - $245 81%
Healthy Blue (Healthy Louisiana) $88 82%
Louisiana Healthcare Connections (Healthy Louisiana) $88 82%
Aetna $89 - $329 83%
Amerihealth Caritas Louisiana (Healthy Louisiana) $89 83%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $98 92%
Blue Cross Blue Shield $98 - $199 92%
Healthy Blue Dual Advantage (Hmo-D-Snp) $98 92%
Medicare (plans) $98 92%
Ochsner Health Plan $98 92%
Pace New Orleans $107 100%
Christus Health Exchange Plan $218 204%
Cigna $332 311%
First Health Network $428 401%
Louisiana Workers' Compensation Corporation (Lwcc) $428 401%
Mississippi Physicians Care Network $428 401%
Healthcomp & Personify Health (Formerly Gilsbar) $451 422%
Claritev D/B/A Multiplan/Phcs/American Life Care $457 428%
Zelis $457 428%
Employers Health Network (Ehn) $485 454%
Prime Health Services Ppo $485 454%
Usa Managed Care Network $485 454%
Behavioral Health Systems $514 481%
Evolutions Healthcare $514 481%
Galaxy Health Network Ppo $514 481%
Galaxy Health Network Wc $514 481%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals